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1265556047
GRACE COOKWATERS
NEWARK, DE
NPI
1265556047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DE 251)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- GRACE COOKWATERS
254 E MAIN ST
NEWARK, DE 19711-7311
Phone number: 302-731-1405
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Mailing Address
-- GRACE COOKWATERS
PO BOX 374
BEAR, DE 19701-0374
Phone number: 302-731-1504
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